Irl Brian Greenwell M.D.

NPI 1043573009 - Internal Medicine - 207R00000X

NPI Details
NPI 1043573009
Gender Male
Enumeration Date 06/24/2012
Last Updated 06/24/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1365 CLIFTON RD NE
SUITE 5010
ATLANTA GA, 30322-1013, US
Phone (404) 778-4250
Fax
Business Location
1365 CLIFTON RD NE
SUITE 5010
ATLANTA GA, 30322-1013, US
Phone
Fax (314) 747-1080
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2012017805
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According to our database, Dr. Irl Brian Greenwell M.D. NPI is 1043573009, taxonomy code is 207R00000X and license number is 2012017805, license state is located at Missouri. Irl Brian Greenwell M.D. physically located at 1365 Clifton Rd Ne, Atlanta GA, 30322-1013. NPI Number Irl Brian Greenwell M.D. has the Individual type.

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1043573009 NPI number is provided on an as is basis without warranty of any kind. 1043573009 is maintained by the National Plan & Provider Enumeration System. The contents of Irl Brian Greenwell M.D. are for informational purposes only.